Individual
MS. BRENDA MARIE TRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRT,EI
Contact information
Practice address
2051 MAIN ST, WEST BARNSTABLE, MA 02668-1118
(508) 400-0011
Mailing address
2051 MAIN ST, WEST BARNSTABLE, MA 02668-1118
(508) 400-0011
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3924
MA
225CX0006X
Orientation and Mobility Training Rehabilitation Counselor
3103
MA
227800000X
Certified Respiratory Therapist
3103
MA
Other
Enumeration date
07/14/2009
Last updated
07/14/2009
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